Should I choose a personal or online format?

Both online and in-person consultations have their own unique aspects, and personal preference can vary from one person to another regarding which option they prefer.
Covid undeniably brought changes to the way the world operates, and psychology is no exception. The virus opened the doors to online therapeutic processes, specifically fostering openness from both clients and professionals, which allowed parts of psychotherapy to move online. This change, almost unimaginable before, was made possible even though the technical prerequisites for counseling in the digital space have long been available.
By the end of 2020, therapy conducted via video calls became a frequently researched area. A 2021 study at a Texas university (Live psychotherapy by video versus in-person: A meta-analysis of efficacy and its relationship to types and targets of treatment. Fernandez et al, 2021.) found that clinically, therapy is no less effective via videoconferencing compared to in-person sessions, especially in cognitive behavioral therapy for affective disorders (anxiety, depression, PTSD). Video psychotherapy is not just a convenient option but, as per the meta-analysis, also proves to be an effective method.
This can be good news for those who cannot attend sessions in person due to logistical, health, or personal reasons. Situations like a long-term illness that restricts movement or living in areas where there is no suitable professional or capacity (rural areas) are examples. For some clients, it can be more convenient to consult online due to lack of time or being accustomed to the online world by their profession (e.g., IT sector).
However, it is crucial to highlight the human factors that can play a significant role in the overall experience a counseling process can offer in person. Communication such as non-verbal cues, like body language and facial expressions, can be much more closely monitored, giving a clearer picture of each other's communication. The office – a neutral space where only the client is present, and where no one can overhear them, aids in liberation, immersion, and engagement. Our home cannot provide this experience as effectively, as it may cause anxiety if others are near during therapy, and it is harder to focus on the session. The journey to the office can play a crucial role in allowing the client to reflect on their feelings and thoughts, while the journey back home offers a great chance for calming down and organizing thoughts. In-person settings are also more suitable for forming an intimate connection necessary for certain therapeutic interventions like relaxation techniques or autogenic training. When in-person, nothing can disrupt the session’s flow, as there will be no disconnection or technical issues, providing extra peace of mind.
Overall, both online and in-person sessions have their own lists of advantages and disadvantages. Sometimes, it isn't up to us to decide which version needs to be chosen. What is certain is that the number of situations where we can meet face-to-face is decreasing. However, if there are no physical barriers, let's try the magic of personal involvement and make the most of the benefits of live communication.
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